Patient Safety, Quality, and Performance Improvement Specialist

Job Description Summary

Make a measurable impact on patient care - every single day.

Are you passionate about patient safety, data-driven improvement, and building systems that truly work? Do you thrive at the intersection of analytics, collaboration, and frontline clinical care? If so, this role was built for you.

The Patient Safety, Quality, and Performance Improvement Specialist plays a critical role in advancing our mission to deliver safe, high-quality, patient-centered care across the division. This is a high-visibility, enterprise-impact role that partners with clinical leaders, frontline teams, and executives to drive meaningful, sustainable improvement.

You’ll lead innovative Quality Assurance and Performance Improvement (QAPI) initiatives, support regulatory readiness, and serve as a trusted resource for improvement science across all facilities and services within the division.

Entity

Medical University Hospital Authority (MUHA)

Worker Type

Employee

Worker Sub-Type​

Regular

Cost Center

CC001539 LAN - Quality (LMC)

Pay Rate Type

Salary

Pay Grade

Health-28

Scheduled Weekly Hours

40

Work Shift

Day (United States of America)

Job Description

What You’ll Do

Quality, Safety & Performance Improvement

• Lead the design, execution, and sustainment of QAPI initiatives that improve clinical outcomes, operational performance, and patient safety

• Translate organizational Opportunities for Improvement (OFIs) into structured, measurable improvement plans

• Manage complex projects from concept to long-term sustainment

• Conduct Root Cause Analyses (RCA), Failure Mode and Effects Analyses (FMEA), and other safety methodologies

• Analyze dashboards, trend data, and national benchmarks (e.g., Vizient, Leapfrog) to identify gaps and prioritize action

• Facilitate interdisciplinary improvement teams and ensure accountability and follow-through

Current Priority Initiatives

(Yes—these evolve as organizational needs change)

• Hypoglycemia Management in Insulin-Treated Patients

• K-Card Implementation & Optimization for reliable communication

• Verge Deployment to strengthen real-time regulatory readiness

• Hospital Mobility Program to reduce harm and improve outcomes

• Primary responsibility for Leapfrog survey completion

Tumor Board Coordination

• Serve as the primary coordinator for the multidisciplinary Tumor Board

• Manage scheduling, case preparation, materials distribution, attendance tracking, and documentation

• Ensure compliance with accreditation and regulatory standards (e.g., Commission on Cancer, if applicable)

• Partner closely with oncology, pathology, radiology, and clinical documentation teams

• Maintain secure, well-organized workflows

Survey Readiness & Regulatory Compliance

• Conduct routine survey readiness rounds across clinical and support areas

• Identify risks in real time and partner with leaders on corrective action

• Educate staff on regulatory expectations and continuous readiness

• Support mock surveys, accreditation preparation, and document review

Additional Job Description

Preferred Qualifications

• Clinical hospital background strongly preferred

• CPHQ, CPPS, or similar certification

• Experience with hospital accreditation and regulatory standards

• Knowledge of cancer program workflows and/or Tumor Board coordination

• Epic experience

Required Qualifications

• Degree in Nursing, Healthcare Administration, Public Health, or a related healthcare field

• 2–4 years of experience in healthcare quality, patient safety, or performance improvement

• Working knowledge of QAPI methodologies (PDSA, Lean, Six Sigma)

• Strong analytical, organizational, and communication skills

• Ability to collaborate across disciplines and manage confidential information

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees